摘要
目的:基于德尔菲法构建口腔刺激、非营养性吸吮及口腔支持三者联合使用的综合口腔运动干预方案,并分析其对早产儿经口喂养能力及生长发育的影响。方法:邀请28名专家进行两轮德尔菲法专家咨询构建综合口腔运动干预方案。将144例早产儿随机分为综合口腔运动干预组(IOMIs组)、口腔运动干预组(OMIs组)和对照组,每组各48例。对照组实施早产儿常规发育支持护理,在对照组措施的基础上,IOMIs组实施综合口腔运动干预,OMIs组实施Fucile口腔运动干预。每天采用早产儿准备经口喂养评估量表评估三组早产儿的经口喂养能力,观察记录开始经口喂养的时间并监测体质量。结果:入院第7天、第10天,IOMIs组早产儿经口喂养能力总分高于对照组(P<0.05),开始经口喂养早产儿数多于对照组(P<0.05)。IOMIs组入院第16天的体质量增长速率大于OMIs组和对照组(P<0.05)。结论:综合口腔运动干预不仅可节约时间,还可提高早产儿的经口喂养能力,促进早产儿的生长发育,值得在临床推广使用。
Objective:Based on the Delphi method,an integrated oral motor interventions was constructed by combining Hwang's 5 min oral motor interventions and Boiron's 2 min oral support,and to explore the effects of intervention on oral feeding ability,growth and development of preterm infants.Methods:A total of 28 experts were invited to conduct two rounds of Delphi expert consultation to construct the integrated oral motor intervention.The 144 included preterm infants were randomly divided into integrated oral motor interventions group(IOMIs group),oral motor interventions group(OMIs group)and the control group,and there were 48 cases for each group.The cases in the control group were with the routine developmental supportive care,the cases in IOMIs group were with the integrated oral motor interventions,and the cases in OMIs group were with Fucile oral motor interventions on the base of routine nursing care.The Preterm Infant Oral Feeding Readiness Assessment Scale was used to evaluate the oral feeding ability of preterm infants in three groups,the initial time of oral feeding was recorded,and the body weight was monitored every day.Results:The score of oral feeding ability at the 7th day and the 10th day after admission for the cases in the IOMIs group was higher than the score of those in the control group(P<0.05),there were more infants with oral feeding in the IOMIs group compared with the control group(P<0.05).The weight gain rate of cases in IOMIs group at the 16th day was higher than that of OMIs group and control group(P<0.05).Conclusion:The integrated oral motor interventions could not only save time,but also improve the oral feeding ability,promote the growth and development of preterm infants,and it is worthy of clinical application.
作者
崔慧敏
孙彩霞
李胜玲
CUI Huimin;SUN Caixia;LI Shengling(Nursing College,Ningxia Medical University,Yinchuan,750001,China)
出处
《中国护理管理》
CSCD
北大核心
2019年第12期1893-1898,共6页
Chinese Nursing Management
基金
国家自然科学基金(81660385）
关键词
早产儿
综合口腔运动干预
德尔菲法
经口喂养能力
生长发育
preterm infants
integrated oral motor interventions
Delphi method
oral feeding ability
growth and development
作者简介
崔慧敏,硕士,助教,护师通信作者:李胜玲,本科,教授,主任医师,E-mail:Lish_ling@163.com。
